| NPI | 1356457725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED NISAR Doctor 732-548-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-10-11 |